DR. WILLIAM MOORE (DO) – Emergency Medicine Physician, NPI 1720501299
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
747 EMERGENCY MEDICINE in OK
Provider Addresses for DR. WILLIAM MOORE (DO)
1111 N LEE AVE STE 305
OKLAHOMA CITY, OK 731032620
Phone: (405) 272-4978
Type: Location
7050 AIR DEPOT BLVD
TINKER AFB, OK 731458716
Phone: (405) 734-2778
Type: Location
Keesler Medical Center, 301, Fisher Street, Biloxi, Harrison County, Mississippi, 39534, United States
KEESLER AFB, MS 395342508
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $94.
Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($30).
Total Amount
$94
General + Research + Ownership
Payments
5
Total payment records
General Amount
$94
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-05-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20250507003226 | I | Emergency Medicine | OK | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 73103)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine, Family Practice | OK | |
| Pediatric Medicine | OK | |
| - | OK | |
| Emergency Medicine | OK | |
| Emergency Medicine | TX |
Reviews
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